DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chalk Jr, John A	DOIID	394002	NAIC NPN	333499

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/15/2000		6/30/2026
Active	Non Resident	Agent	Property	8/15/2000		6/30/2026
Inactive	Non Resident	Agent	General Lines	5/22/1996	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2024	06/30/2024	04/18/2024	04/18/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accident Fund Insurance Company of America	518734	Agent - Casualty	4/28/2010	8/6/2013
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/22/2013	4/25/2019
Inactive	Great American Insurance Company	301586	Agent - Property	8/22/2013	4/25/2019
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	8/28/2013	4/25/2019
Inactive	Great American Insurance Company of New York	301897	Agent - Property	8/28/2013	4/25/2019
Inactive	Old Republic Insurance Company	301225	Agent - Casualty	3/8/2008	11/9/2010
Inactive	Old Republic Insurance Company	301225	Agent - Property	3/8/2008	11/9/2010
Active	Starr Indemnity and Liability Company	301685	Agent - Casualty	11/7/2013
Active	Starr Indemnity and Liability Company	301685	Agent - Property	11/7/2013
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	8/15/2000	7/30/2013
Inactive	Travelers Casualty and Surety Company	301067	Agent - General Lines	5/22/1996	8/15/2000
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	8/15/2000	7/30/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alliant Insurance Services, Inc.	551378	Agent - Property	7/24/2013	7/30/2013
Inactive	Alliant Insurance Services, Inc.	551378	Agent - Casualty	7/24/2013	8/6/2013
Inactive	Barksdale Bonding & Insurance, Inc.	610716	Agent - Property	7/5/2005	3/31/2009
Inactive	Barksdale Bonding & Insurance, Inc.	610716	Agent - Casualty	7/5/2005	3/31/2009